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頁籤選單縮合
題名 | Hirschsprung's Disease: An Analysis of 104 Cases=Hirschsprung氏症:104例之臨床分析 |
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作者姓名(中文) | 周怡宏; | 書刊名 | 中華民國小兒科醫學會雜誌 |
卷期 | 32:4 民80.07-08 |
頁次 | 頁199-207 |
分類號 | 417.624 |
關鍵詞 | Hirschsprung氏症; 分析; 臨床; |
語文 | 英文(English) |
中文摘要 | Hirschsprung氏症是嬰幼兒期最常見的下消化道阻塞性疾病。我們回顧在台大醫院小兒科最近6年間(1984-1989)所經歷之104例經病理診斷證實之本症患童。共包含100例足月兒及4例早產兒,其症狀之發生最早在出生後即出現,最晚在7歲才出現。其結果顯示:(l)在抽吸式切片陽性羣中,重要之症狀組合包含腹漲、胎便延遲性排出、肛門緊縮。(2)4例兒童有陽性家族歷。(3)病患其26%的診斷須費時2個月以上,是以完整的檢查非常重要。(4)小於1個月大的患嬰中有25%的第一次抽吸式結果無法判讀,且此羣中有27.6%的鋇劑攝影呈無結論性結果。(5)外科手術的死亡率只占3.8%,但術後的消化系統罹病率仍頗高。吾人建議對此症患童,尤其嬰幼期者,必須對其臨床重要症狀愼密觀察,並做完整的術前系列檢查,俾能獲得正確的診斷,而予以適當之手術治療並應予術後之長期追踪。 |
英文摘要 | One hundred and four cases of Hirschsprung's disease in infants and children diagnosed at the National Taiwan University Hospital during the period of 1984 to 1989 were analysed for demographic patterns, clinical manifestations, accuracy of various diagnostic procedures, especially the reliability of suction biopsy, and postoperative course. The important symptom constellation included abdominal distention, delayed meconium passage, and tight anus in the biopsy-positive group. Complementary diagnostic procedures were mandatory for accurate diagnosis, since 26% of the patients (7 of them with ultrashort segment) were diagnosed over a period of more than two months. The first biopsy in 25% of the patients aged less than 1 month could not be interpreted, and in 27.6% of this subgroup the radiological pictures were inconclusive. Further scrutiny of clinical manifestations together with other elaborate study including repeated rectal biopsies may be required for establishing a definite diagnosis of the disease. The surgical mortality is low, but surgical morbidity remains high and needs further improvement. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。